What A Power Of Attorney Should Cover Before A Care Crisis
On Behalf of Sowerby & Moustakis Law
Quick Summary
A power of attorney authorizes another person to make financial or legal decisions on your behalf. When a medical crisis forces the need for that authority, having the right document in place means the person you chose can act immediately. Without it, family members may face court proceedings to obtain the authority they need.
What Durable Means
A standard power of attorney terminates automatically if the person who signed it becomes incapacitated. A durable power of attorney survives incapacity. That distinction matters most during a care crisis, because the moment when an agent most needs to act is often the moment when the principal is least able to manage their own affairs.
New Hampshire and Massachusetts both recognize durable powers of attorney, but the documents must be properly executed to be effective. NH requires two disinterested witnesses and a notary. MA has its own execution requirements. An out-of-state document may not satisfy the formal requirements of the state where it needs to be used.
A person who becomes incapacitated without a durable power of attorney leaves family members in a position where court intervention may be required to establish guardianship or conservatorship. That process is more expensive, more time-consuming, and more public than having the right documents in place before a crisis occurs.
What A Financial Agent Can Do
A person named as financial agent under a power of attorney can typically manage bank accounts, pay bills, file tax returns, manage investments, and handle real estate transactions. The scope of the agent’s authority depends on how the document is written.

A broad power of attorney gives the agent extensive authority to act in almost any financial matter. A limited one restricts the agent to specific transactions. Choosing the right scope requires thinking through what the agent may actually need to do during a period of incapacity. An agent who lacks authority to pay for care, refinance a home, or liquidate an asset when necessary cannot help when the situation demands it.
The document should also address whether the agent can make gifts, including transfers to themselves, and under what conditions. An agent who can make unrestricted gifts has significant power over the principal’s estate. Whether that authority is appropriate depends on the relationship between the principal and the agent.
Springing Versus Immediate Authority
Some powers of attorney take effect immediately upon signing. Others spring into effect only upon the occurrence of a defined event, typically a physician’s certification that the principal lacks capacity. Immediate powers are simpler to use because there is no triggering condition to document.
Springing powers feel more protective to many clients, but they can create delays precisely when speed matters. If an agent needs to act during a hospital admission and has to first obtain a physician’s certification, the process takes time. In an emergency, that delay can prevent the agent from acting when it matters most.
The choice between immediate and springing authority depends on the client’s circumstances, the relationship with the named agent, and how important immediate access to the authority is likely to be. An attorney can help evaluate which structure fits the specific situation.
When Financial And Health Care Powers Should Be Separate
Financial powers of attorney address financial and legal decisions. Health care decisions require a separate health care proxy or medical power of attorney. In New Hampshire and Massachusetts, these are distinct documents with different formal requirements.

Having both ensures there is no gap in coverage during a medical emergency. The health care proxy authorizes someone to make medical decisions, including decisions about life-sustaining treatment, if the principal cannot communicate those decisions. The financial power of attorney ensures someone can manage the financial side of a care crisis, paying for treatment, managing assets, and handling obligations.
The same person can serve as both financial agent and health care agent, or different people can be named. Many clients choose different people for each role based on who is best suited to make financial versus medical decisions on their behalf.
Choosing The Right Agent
The choice of agent is as important as the document itself. The agent must be someone the principal trusts completely with access to their finances and the authority to make decisions on their behalf. It should also be someone who can act effectively, who is organized, available, and capable of navigating the practical requirements of the role.
Naming an agent who lives far away, who has their own financial difficulties, or who does not get along with other family members can cause problems when the authority is actually needed. Talking with the person before naming them ensures they understand what the role involves and are willing to serve.
A backup agent, called a successor agent, should also be named in case the primary agent is unable or unwilling to serve when the time comes. An estate plan that names only one agent and that agent predeceases the principal or becomes incapacitated themselves leaves the same gap the document was meant to fill.

Powers Of Attorney In The Context Of Estate Planning
A power of attorney does not exist in isolation. It is one document in a complete estate plan that also includes a will or trust, a health care proxy, and beneficiary designations on financial accounts. These documents work together to ensure that both financial decisions during incapacity and the distribution of assets at death are handled as the client intends.
The power of attorney addresses decisions that must be made while you are alive but unable to make them yourself. It is the document that keeps the financial and practical aspects of your life moving when you cannot manage them directly. Without it, a spouse, child, or sibling who wants to help often finds that financial institutions, government agencies, and healthcare facilities require legal authority before accepting instruction from anyone other than the account holder.
New Hampshire probate and conservatorship proceedings can be costly and time-consuming. Court supervision of an incapacitated person’s finances requires regular reporting to the court, professional fees, and a process that imposes structure even when flexibility would serve the family better. A durable power of attorney avoids all of that by giving a trusted person the authority to act without court oversight.
The connection between a power of attorney and Medicaid planning is also significant. An agent who has the authority to make gifts, transfer assets, or establish a trust may be able to take protective steps that are unavailable once a guardianship proceeding begins. Medicaid planning that requires asset transfers must be done while the principal has capacity, and must be done by someone with the authority to act if the principal’s capacity has begun to decline.
Plan Before You Need It
The time to put a power of attorney in place is before a health event forces the issue. Once someone lacks capacity, they can no longer sign legal documents. The document must be in place while the principal is competent to sign it.
Sowerby and Moustakis Law prepares powers of attorney for clients throughout southern New Hampshire and eastern Massachusetts as part of a complete estate plan. Call now at (603) 249-5925 to schedule a consultation and put the right documents in place before a care crisis makes action impossible. Starting with a conversation about who you would trust to make decisions on your behalf, and what authority they would need, is the right first step.